JAIN SANSKAR VIDHI NEW SANSKARAK REGISTRATION FORM
Country Name
*
Select Country
India
Nepal
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State Name
*
Select State
Parishad Name
Select Parishad
Parishad Name
*
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Parishad City
Name
*
Mobile No.
*
Do not add +91 or 91 or 0 in front of your mobile number. If you are from foreign country please add country code.
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Date of Birth
( Enter Actual Date of Birth. Its only to wish on your birthday.)*
Are you married ?
Date of Marriage
*
Address
( Please type complete address WITHOUT CITY & PINCODE )*
Email Id
*
City
*
Pincode
*
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Jacket Size
( Jacket will be given only to those who become Sanskarak after exam.) *
Select Jacket Size
36
38
40
42
44
46
48
Other
Other Jacket Size
*
Image Upload
(Maximum 2 MB)*
Upload Signature
(On plain white paper)*
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